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Brandon Wade Saksa
Military Health Care Provider in Kiln, Mississippi
NPI 1144592841

Brandon Wade Saksa is a Military Health Care Provider based in Kiln, MS. Brandon Wade Saksa practices in Kiln, MS. The NPI Number for Brandon Wade Saksa is 1144592841 and holds a License No. B1978057 (Mississippi).

The current practice location address for Brandon Wade Saksa is 14115 Fred And Al Key Rd, Kiln, MS and can be reached out via phone at 228-466-1035.

Location: 14115 Fred And Al Key Rd, Kiln, MS, 39556-8060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144592841
Provider Name
Brandon Wade Saksa
Credential
Provider Entity Type
Individual
Gender
Male
Address
14115 Fred And Al Key Rd, Kiln, MS, 39556-8060
Phone Number
228-466-1035
Fax Number
Provider Enumeration Date
01/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14115 Fred And Al Key Rd
City
Kiln
State
Mississippi
Zip
39556-8060
Phone Number
228-466-1035
Fax Number
person
Provider Business Mailing Address Details
Address
14115 Fred And Al Key Rd
City
Kiln
State
Mississippi
Zip
39556-8060
Phone Number
228-466-1035
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
B1978057 (Mississippi)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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